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health-skillz

автор jmandel · jmandel/health-skillz

Connects Claude to your personal health records via SMART on FHIR — ask questions about your labs, meds, and visits without exporting anything.

A Claude skill that speaks SMART on FHIR, the industry-standard health data API. Lets Claude query your hospital portal as you, so you can ask plain-language questions about your lab values, medications, immunizations, and encounters.

Зачем использовать

Ключевые функции

Живое демо

Как выглядит на практике

health-skillz-skill.replay ▶ готово
0/0

Установка

Выберите клиент

~/Library/Application Support/Claude/claude_desktop_config.json  · Windows: %APPDATA%\Claude\claude_desktop_config.json
{
  "mcpServers": {
    "health-skillz-skill": {
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ],
      "_inferred": true
    }
  }
}

Откройте Claude Desktop → Settings → Developer → Edit Config. Перезапустите после сохранения.

~/.cursor/mcp.json · .cursor/mcp.json
{
  "mcpServers": {
    "health-skillz-skill": {
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ],
      "_inferred": true
    }
  }
}

Cursor использует ту же схему mcpServers, что и Claude Desktop. Конфиг проекта приоритетнее глобального.

VS Code → Cline → MCP Servers → Edit
{
  "mcpServers": {
    "health-skillz-skill": {
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ],
      "_inferred": true
    }
  }
}

Щёлкните значок MCP Servers на боковой панели Cline, затем "Edit Configuration".

~/.codeium/windsurf/mcp_config.json
{
  "mcpServers": {
    "health-skillz-skill": {
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ],
      "_inferred": true
    }
  }
}

Тот же формат, что и Claude Desktop. Перезапустите Windsurf для применения.

~/.continue/config.json
{
  "mcpServers": [
    {
      "name": "health-skillz-skill",
      "command": "git",
      "args": [
        "clone",
        "https://github.com/jmandel/health-skillz",
        "~/.claude/skills/health-skillz"
      ]
    }
  ]
}

Continue использует массив объектов серверов, а не map.

~/.config/zed/settings.json
{
  "context_servers": {
    "health-skillz-skill": {
      "command": {
        "path": "git",
        "args": [
          "clone",
          "https://github.com/jmandel/health-skillz",
          "~/.claude/skills/health-skillz"
        ]
      }
    }
  }
}

Добавьте в context_servers. Zed перезагружается автоматически.

claude mcp add health-skillz-skill -- git clone https://github.com/jmandel/health-skillz ~/.claude/skills/health-skillz

Однострочная команда. Проверить: claude mcp list. Удалить: claude mcp remove.

Сценарии использования

Реальные сценарии: health-skillz

Ask plain questions about your lab result trends

👤 Patients tracking chronic conditions, cholesterol, A1c ⏱ ~15 min beginner

Когда использовать: You've had repeated labs over months/years and want to see the trajectory, not just each result in isolation.

Предварительные требования
  • A patient portal with FHIR access — Most major US health systems support SMART on FHIR — check your portal for API/app access
  • Skill installed — git clone https://github.com/jmandel/health-skillz ~/.claude/skills/health-skillz
Поток
  1. Authenticate
    Use health-skillz to connect to my Epic MyChart account.✓ Скопировано
    → Browser opens SMART launch; token stored locally
  2. Pull labs
    Show my LDL, HDL, and A1c over the past 3 years as a trend.✓ Скопировано
    → Time-series table or summary with unit conversions
  3. Contextualize
    Relate these to the guideline ranges. Don't give me medical advice — just surface what's in range vs not.✓ Скопировано
    → Explicit framing as reference ranges, not diagnosis

Итог: A readable longitudinal view of your key labs — useful before your next appointment.

Подводные камни
  • Treating Claude's output as medical advice — Always bring questions to your actual clinician. This skill is for understanding your own records, not a second opinion.

Reconcile the medication list before an appointment

👤 Patients on multiple meds from multiple providers ⏱ ~10 min beginner

Когда использовать: You're about to see a new specialist and want a clean, current med list.

Поток
  1. Fetch active meds
    Use health-skillz. Pull my current medication list with dose, frequency, and prescribing provider.✓ Скопировано
    → Structured list with RxNorm codes resolved to names
  2. Spot duplicates and gaps
    Any duplicate therapy, same-class redundancies, or meds that look expired?✓ Скопировано
    → Flags you can raise with your doctor

Итог: A med list to hand your new provider on day one.

Подводные камни
  • Portals sometimes miss OTC meds — Supplement manually; the portal only shows what was prescribed via it

Export a relevant subset of records for a new specialist

👤 Patients changing providers or seeing a specialist ⏱ ~20 min intermediate

Когда использовать: You're consolidating records for a second opinion.

Поток
  1. Filter
    Use health-skillz. Pull all cardiology-related encounters, labs, and imaging from the last 2 years.✓ Скопировано
    → Filtered export grouped by encounter
  2. Format
    Format as a one-page summary a specialist can skim in 30 seconds.✓ Скопировано
    → Compact doc with key dates, diagnoses, pertinent findings

Итог: A portable summary you own — not a 200-page PDF dump.

Подводные камни
  • Losing nuance by summarizing — Always bring the full export as backup; summary is for quick triage
Сочетать с: filesystem

Комбинации

Сочетайте с другими MCP — эффект x10

health-skillz-skill + filesystem

Save exports to an organized local folder structure

Save the cardiology export to ~/health/specialists/cardio-2026.md✓ Скопировано

Инструменты

Что предоставляет этот MCP

ИнструментВходные данныеКогда вызыватьСтоимость
smart_launch provider URL First-time connection to a provider OAuth redirect
get_observations patient id, category, date range Pulling labs or vitals FHIR API call
get_medications patient id, status Med reconciliation FHIR API call
get_encounters patient id, date range Visit history review FHIR API call

Стоимость и лимиты

Во что обходится

Квота API
Depends on the provider's FHIR API limits
Токенов на вызов
Moderate — lab results are compact
Деньги
Free (portal access is included with care)
Совет
Pull in one category at a time; full 'everything' exports are token-expensive.

Безопасность

Права, секреты, радиус поражения

Минимальные скоупы: patient/*.read
Хранение учётных данных: OAuth token in local credential store; never committed
Исходящий трафик: Your FHIR server and Anthropic API only
Никогда не давайте: user/*.write system/*.*

Устранение неполадок

Частые ошибки и исправления

SMART launch fails with redirect error

Most portals require pre-registering the app's redirect URI. Check the skill's docs for your provider.

Empty results despite having data in portal

Your provider may restrict FHIR scopes; try narrower queries or contact support.

Lab codes show as raw LOINC IDs

Ensure the skill's code map is current; may need to update the clone.

Проверить: cd ~/.claude/skills/health-skillz && git pull

Альтернативы

health-skillz в сравнении

АльтернативаКогда использоватьКомпромисс
Manual portal exportOne-time export of all recordsPDF dump, not queryable
Apple Health appiOS-centric consumer aggregationClosed data; no LLM querying

Ещё

Ресурсы

📖 Читать официальный README на GitHub

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